Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Krista Kelly Petersen

Individual provider Speech-Language Pathologist · NPI 1821668245

Krista Kelly Petersen is a Speech-Language Pathologist in Edina, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2021

Practice location Address checks out

6200 Xerxes Ave S
Edina, MN 55423-1033
Phone: (952) 925-8500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 8918 (MN)

Record details

NPI number1821668245
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 28, 2021
Last updated in NPPESJune 28, 2021
Certification dateJune 28, 2021

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